We at
Mountain Valley Paranormal Society,
hereinafter known as the
Investigator,
respect your right to privacy.
Therefore, all personal information
you may divulge to me
or any persons working with me will
be kept strictly confidential.
However, I/we would like to ask your
permission to use some of the
information and
evidence that I/we collect during
my/our investigation for possible
inclusion in my/our
website, newsletter, or other media
activities.
Please initial the level of privacy
that you would like:
_____ You may
not publicly release any part of the
investigation information.
_____ You may
release investigation information
and evidence only if my name and the
names of my family and associated
persons are excluded or changed and
the exact
address of the location is not
divulged.
_____ You may
release any and all investigation
information and evidence.
List any
Special Comments and Requests:
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
Owner/Authorized Representative:
_________________________ Date:
__________
Printed Name:
_______________________________________________________
Contact
Address/Phone:
_______________________________________________
Investigator:
_________________________________________
Date: ___________
Printed Name:
_______________________________________________________
Contact
Address/Phone:
_______________________________________________
Witness:
___________________________________________
Date: ___________
Printed Name:
_______________________________________________________
Contact
Address/Phone:
_______________________________________________